Individual
FRANCIS EDMOND ST. LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2505 HUALAPAI MTN RD. STE E, LIFEFITREHAB, KINGMAN, AZ 86401
(877) 718-4301
(928) 718-4303
Mailing address
16565 N LARIAT DR, DOLAN SPRINGS, AZ 86441-9714
(802) 683-9914
(928) 767-3504
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6513A
AZ
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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